Resource extraction can influence a range of determinants of health for Indigenous communities directly and indirectly, through various complex social-ecological pathways. However, research on these pathways is lacking, which prevents a comprehensive understanding of how Indigenous Peoples are affected by resource development. The objective of this scoping review was to understand pathways connecting extraction to Indigenous Peoples’ health. Adopting a realist perspective, we identified mechanisms from the reviewed articles with the capacity to be activated in an extraction context and produce health outcomes. Eight mechanisms were related to changes stemming from extraction sites: engagement in assessment and consultation processes; interaction with government and industry officials; presence and nature of new work and training opportunities; changes to the economy and influx of new money; changing social structures and new inequalities; environmental degradation and dispossession; new and longstanding changes to the economy; and lasting effects on land. These mechanisms affect physical, mental, emotional, and spiritual health in myriad ways. We situate these findings within a historical context of extractive activities in Canada and Indigenous health ontologies and provide implications for future resource governance. We conclude that only by comprehensively understanding the context of extraction is it possible to determine potential local health impacts.

资源提取可以通过各种复杂的社会生态途径直接或间接影响土著社区健康的一系列决定因素。但是，缺乏关于这些途径的研究，这妨碍了对资源开发如何影响土著人民的全面了解。范围界定审查的目的是了解将提取与土著人民的健康联系起来的途径。我们采用现实主义的观点，从已审阅的文章中确定了能够在提取环境中激活并产生健康结果的机制。八种机制与提取地点的变化有关：参与评估和咨询过程；与政府和行业官员的互动；新工作和培训机会的存在和性质；经济变化和新资金涌入；不断变化的社会结构和新的不平等现象；环境恶化和处置；经济的新的和长期的变化；对土地的持久影响。这些机制以多种方式影响身体，心理，情感和精神健康。我们将这些发现置于加拿大采掘活动和土著健康本体的历史背景下，并对未来的资源治理提供启示。我们得出的结论是，只有全面了解提取的背景，才有可能确定潜在的当地健康影响。这些机制以多种方式影响身体，心理，情感和精神健康。我们将这些发现置于加拿大采掘活动和土著健康本体的历史背景下，并对未来的资源治理提供启示。我们得出的结论是，只有全面了解提取的背景，才有可能确定潜在的当地健康影响。这些机制以多种方式影响身体，心理，情感和精神健康。我们将这些发现置于加拿大采掘活动和土著健康本体的历史背景下，并对未来的资源治理提供启示。我们得出的结论是，只有全面了解提取的背景，才有可能确定潜在的当地健康影响。